| NPI | 1164793303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054543) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 8774) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |